| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $450.81 | $557.05 | $696.32 | |
Medica
| Professional | $1,525.77 | $1,525.77 | $1,525.77 | |
Midlands
| Facility | $398.55 | $398.55 | $557.41 | |
Midlands
| Professional | $398.55 | $456.00 | $557.41 | |
Sanford Health Plan
| Professional | $308.95 | $445.54 | $457.76 |